Nicole M. Mills, O.D., FAAO

Primary specialty

OptometristTaxonomy code 152W00000X

License

2764 Issued in TN

Practice address

790 Highway 51 N Ste 24
Ripley, TN 38063-6193

Phone

(731) 635-0991

Fax

(731) 635-7372

NPI assigned

Aug 1, 2007

Last updated

Jul 21, 2022By the provider in NPPES

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 4

Addresses

Medicare fee-for-service enrollment

Enrolled in TN

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Optometry

Education

Southern College of Optometry, 2007

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Myeyedr Optometry of Tennessee LLCGroup PAC ID 1759646995, 45 clinicians

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Myeyedr Optometry of Tennessee, LLC

  dba MyEyeDr.

  • Optometrist
  • Chattanooga, TN
  • NPI 1619481587
  Medicare reassignment Care Compare group NPD
• Myeyedr Optometry of Tennessee, LLC

  dba MyEyeDr

  • Optometrist
  • Dyersburg, TN
  • NPI 1518434067
  NPD
• Myeyedr Optometry of Tennessee, LLC

  • Optometrist
  • Mount Juliet, TN
  • NPI 1588516918
  NPD
• Tuscaloosa Ophthalmology, Inc.

  • Ophthalmology Physician
  • Tuscaloosa, AL
  • NPI 1487728218

  Optometrist

  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1185926400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1578753810",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 509",
            "city": "HUMBOLDT",
            "state": "TN",
            "postal_code": "383430509",
            "telephone_number": "731-784-1186",
            "fax_number": "731-784-8228"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "790 HIGHWAY 51 N STE 24",
            "city": "RIPLEY",
            "state": "TN",
            "postal_code": "380636193",
            "telephone_number": "731-635-0991",
            "fax_number": "731-635-7372"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1000 Vann Dr Ste A",
            "address_purpose": "LOCATION",
            "city": "Jackson",
            "state": "TN",
            "postal_code": "383056062",
            "country_code": "US",
            "telephone_number": "731-668-3018",
            "fax_number": "731-660-6811",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "400 US Hwy 51 Bypass",
            "address_purpose": "LOCATION",
            "city": "Dyersburg",
            "state": "TN",
            "postal_code": "38024",
            "country_code": "US",
            "telephone_number": "731-286-2744",
            "fax_number": "731-285-3235",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MILLS",
        "first_name": "NICOLE",
        "middle_name": "M.",
        "credential": "O.D., FAAO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-08-01",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152WL0500X",
            "taxonomy_group": "",
            "desc": "Optometrist, Low Vision Rehabilitation",
            "state": "MS",
            "license": "777",
            "primary": false
        },
        {
            "code": "152WL0500X",
            "taxonomy_group": "",
            "desc": "Optometrist, Low Vision Rehabilitation",
            "state": "AL",
            "license": "R-171-TA-795",
            "primary": false
        },
        {
            "code": "152WL0500X",
            "taxonomy_group": "",
            "desc": "Optometrist, Low Vision Rehabilitation",
            "state": "MA",
            "license": "5020",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TN",
            "license": "2764",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cynthia M. Mashburn, APRN, BC, FNP
• Mays-Dunavant Drugs Inc
• William Haywood Mays Jr., DPH
• Tonya Ward Medford, RN
• Mid-South Convenient Care, PLLC
• Felicia Gail Mitchell, RN
• Tracy Schneider Morris, DDS
• Myeyedr Optometry of Tennessee, LLC (MyEyeDr)
• Damien Eric Nethery, LCSW
• Northwest Tennessee Foot Clinic, PLLC

• Optometrist in Ripley, TN
• Providers in Ripley, TN by specialty
• Optometrist in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.